Individual
KLAITON MARKELL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 W CHEYENNE AVE STE 40, NORTH LAS VEGAS, NV 89030-7849
(702) 633-7923
(702) 633-7610
Mailing address
730 W CHEYENNE AVE STE 40, NORTH LAS VEGAS, NV 89030-7849
(702) 633-7923
(702) 633-7610
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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